Individual provider Active NPI

Francesco Robert Olivito, D.O.

  • Family Medicine Physician
  • Sanford, NC
National Provider Identifier
1104817790
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200301154 Issued in NC
Practice address
4546 NC Highway 87 South
Sanford, NC 27332
Phone
(919) 499-5151
Fax
(919) 499-5147
NPI assigned
Nov 2, 2005
Last updated
Aug 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02000877A IN
Family Medicine Physician 207Q00000X 200301154 NC Primary

Addresses

Primary practice location

4546 NC Highway 87 South
Sanford, NC 27332

Mailing address

4546 NC Highway 87 South
Sanford, NC 27332
Phone (919) 499-5151

Other practice location 1

1411 Greenway Ct
Sanford, NC 27330-6954
Phone (919) 292-1878

Other identifiers 1

IdentifierTypeStateIssuer
1104817790MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060713000183 NC Practitioner - Family Practice 2466465505 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02000877AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Central Carolina Medical Group LLC CurrentSince Sep 1, 2018 Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince Sep 1, 2018 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731

4546 NC 87 S
Sanford, NC 27332
Phone (919) 499-5151

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1104817790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 NC HIGHWAY 87 SOUTH",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27332",
            "telephone_number": "919-499-5151",
            "fax_number": "919-499-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 NC HIGHWAY 87 SOUTH",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27332",
            "telephone_number": "919-499-5151",
            "fax_number": "919-499-5147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Greenway Ct",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273306954",
            "country_code": "US",
            "telephone_number": "919-292-1878",
            "fax_number": "919-292-1879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVITO",
        "first_name": "FRANCESCO",
        "middle_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02000877A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200301154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104817790",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.